|
AIRFIT F10 MASK SMALL
|
Facility
|
OP
|
$38.50
|
|
| Hospital Charge Code |
6750067
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.85 |
| Max. Negotiated Rate |
$38.50 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$37.73
|
| Rate for Payer: Aetna of WY Medicare |
$25.41
|
| Rate for Payer: Altius Commercial |
$36.96
|
| Rate for Payer: Beech Street Commercial |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$37.34
|
| Rate for Payer: Cash Price |
$26.95
|
| Rate for Payer: ChoiceCare Network Commercial |
$37.34
|
| Rate for Payer: Cigna of WY Commercial |
$37.73
|
| Rate for Payer: Entrust Commercial |
$36.58
|
| Rate for Payer: First Choice Health Commercial |
$36.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$36.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$21.94
|
| Rate for Payer: HealthUtah PPO |
$38.50
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$37.34
|
| Rate for Payer: Multiplan Medicare/VA |
$20.85
|
| Rate for Payer: One Health Plan of WY PPO |
$37.73
|
| Rate for Payer: PacificSource Commercial |
$34.65
|
| Rate for Payer: PHCS PPO |
$37.73
|
| Rate for Payer: Three Rivers PPO |
$28.88
|
| Rate for Payer: TriWest Veterans Administration |
$21.94
|
| Rate for Payer: United Healthcare Commercial |
$36.77
|
| Rate for Payer: United Healthcare Medicare |
$21.94
|
| Rate for Payer: WINHealth Partners Commercial |
$37.73
|
| Rate for Payer: Wise Provider Network Commercial |
$36.58
|
|
|
AIRFIT N20 FOR HER MASK SMALL
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
6750065
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.28 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$34.30
|
| Rate for Payer: Aetna of WY Medicare |
$22.40
|
| Rate for Payer: Altius Commercial |
$33.60
|
| Rate for Payer: Beech Street Commercial |
$34.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.95
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$33.95
|
| Rate for Payer: Cigna of WY Commercial |
$34.30
|
| Rate for Payer: Entrust Commercial |
$33.25
|
| Rate for Payer: First Choice Health Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$21.35
|
| Rate for Payer: HealthUtah PPO |
$35.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$33.95
|
| Rate for Payer: Multiplan Medicare/VA |
$20.28
|
| Rate for Payer: One Health Plan of WY PPO |
$34.30
|
| Rate for Payer: PacificSource Commercial |
$31.50
|
| Rate for Payer: PHCS PPO |
$34.30
|
| Rate for Payer: Three Rivers PPO |
$26.25
|
| Rate for Payer: TriWest Veterans Administration |
$21.35
|
| Rate for Payer: United Healthcare Commercial |
$33.42
|
| Rate for Payer: United Healthcare Medicare |
$21.35
|
| Rate for Payer: WINHealth Partners Commercial |
$33.25
|
| Rate for Payer: Wise Provider Network Commercial |
$33.25
|
|
|
AIRFIT N20 FOR HER MASK SMALL
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
6750065
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.95 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$34.30
|
| Rate for Payer: Aetna of WY Medicare |
$23.10
|
| Rate for Payer: Altius Commercial |
$33.60
|
| Rate for Payer: Beech Street Commercial |
$34.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.95
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$33.95
|
| Rate for Payer: Cigna of WY Commercial |
$34.30
|
| Rate for Payer: Entrust Commercial |
$33.25
|
| Rate for Payer: First Choice Health Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$19.95
|
| Rate for Payer: HealthUtah PPO |
$35.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$33.95
|
| Rate for Payer: Multiplan Medicare/VA |
$18.95
|
| Rate for Payer: One Health Plan of WY PPO |
$34.30
|
| Rate for Payer: PacificSource Commercial |
$31.50
|
| Rate for Payer: PHCS PPO |
$34.30
|
| Rate for Payer: Three Rivers PPO |
$26.25
|
| Rate for Payer: TriWest Veterans Administration |
$19.95
|
| Rate for Payer: United Healthcare Commercial |
$33.42
|
| Rate for Payer: United Healthcare Medicare |
$19.95
|
| Rate for Payer: WINHealth Partners Commercial |
$34.30
|
| Rate for Payer: Wise Provider Network Commercial |
$33.25
|
|
|
AIRFIT N20 FOR HER MASK X-SMALL
|
Facility
|
OP
|
$38.50
|
|
| Hospital Charge Code |
6750066
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.85 |
| Max. Negotiated Rate |
$38.50 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$37.73
|
| Rate for Payer: Aetna of WY Medicare |
$25.41
|
| Rate for Payer: Altius Commercial |
$36.96
|
| Rate for Payer: Beech Street Commercial |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$37.34
|
| Rate for Payer: Cash Price |
$26.95
|
| Rate for Payer: ChoiceCare Network Commercial |
$37.34
|
| Rate for Payer: Cigna of WY Commercial |
$37.73
|
| Rate for Payer: Entrust Commercial |
$36.58
|
| Rate for Payer: First Choice Health Commercial |
$36.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$36.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$21.94
|
| Rate for Payer: HealthUtah PPO |
$38.50
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$37.34
|
| Rate for Payer: Multiplan Medicare/VA |
$20.85
|
| Rate for Payer: One Health Plan of WY PPO |
$37.73
|
| Rate for Payer: PacificSource Commercial |
$34.65
|
| Rate for Payer: PHCS PPO |
$37.73
|
| Rate for Payer: Three Rivers PPO |
$28.88
|
| Rate for Payer: TriWest Veterans Administration |
$21.94
|
| Rate for Payer: United Healthcare Commercial |
$36.77
|
| Rate for Payer: United Healthcare Medicare |
$21.94
|
| Rate for Payer: WINHealth Partners Commercial |
$37.73
|
| Rate for Payer: Wise Provider Network Commercial |
$36.58
|
|
|
AIRFIT N20 FOR HER MASK X-SMALL
|
Facility
|
IP
|
$38.50
|
|
| Hospital Charge Code |
6750066
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$22.31 |
| Max. Negotiated Rate |
$38.50 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$37.73
|
| Rate for Payer: Aetna of WY Medicare |
$24.64
|
| Rate for Payer: Altius Commercial |
$36.96
|
| Rate for Payer: Beech Street Commercial |
$37.73
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$37.34
|
| Rate for Payer: Cash Price |
$26.95
|
| Rate for Payer: ChoiceCare Network Commercial |
$37.34
|
| Rate for Payer: Cigna of WY Commercial |
$37.73
|
| Rate for Payer: Entrust Commercial |
$36.58
|
| Rate for Payer: First Choice Health Commercial |
$36.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$36.58
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$23.48
|
| Rate for Payer: HealthUtah PPO |
$38.50
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$37.34
|
| Rate for Payer: Multiplan Medicare/VA |
$22.31
|
| Rate for Payer: One Health Plan of WY PPO |
$37.73
|
| Rate for Payer: PacificSource Commercial |
$34.65
|
| Rate for Payer: PHCS PPO |
$37.73
|
| Rate for Payer: Three Rivers PPO |
$28.88
|
| Rate for Payer: TriWest Veterans Administration |
$23.48
|
| Rate for Payer: United Healthcare Commercial |
$36.77
|
| Rate for Payer: United Healthcare Medicare |
$23.48
|
| Rate for Payer: WINHealth Partners Commercial |
$36.58
|
| Rate for Payer: Wise Provider Network Commercial |
$36.58
|
|
|
AIRFIT N20 MASK LARGE
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
6750064
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.28 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$34.30
|
| Rate for Payer: Aetna of WY Medicare |
$22.40
|
| Rate for Payer: Altius Commercial |
$33.60
|
| Rate for Payer: Beech Street Commercial |
$34.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.95
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$33.95
|
| Rate for Payer: Cigna of WY Commercial |
$34.30
|
| Rate for Payer: Entrust Commercial |
$33.25
|
| Rate for Payer: First Choice Health Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$21.35
|
| Rate for Payer: HealthUtah PPO |
$35.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$33.95
|
| Rate for Payer: Multiplan Medicare/VA |
$20.28
|
| Rate for Payer: One Health Plan of WY PPO |
$34.30
|
| Rate for Payer: PacificSource Commercial |
$31.50
|
| Rate for Payer: PHCS PPO |
$34.30
|
| Rate for Payer: Three Rivers PPO |
$26.25
|
| Rate for Payer: TriWest Veterans Administration |
$21.35
|
| Rate for Payer: United Healthcare Commercial |
$33.42
|
| Rate for Payer: United Healthcare Medicare |
$21.35
|
| Rate for Payer: WINHealth Partners Commercial |
$33.25
|
| Rate for Payer: Wise Provider Network Commercial |
$33.25
|
|
|
AIRFIT N20 MASK LARGE
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
6750064
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.95 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$34.30
|
| Rate for Payer: Aetna of WY Medicare |
$23.10
|
| Rate for Payer: Altius Commercial |
$33.60
|
| Rate for Payer: Beech Street Commercial |
$34.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.95
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$33.95
|
| Rate for Payer: Cigna of WY Commercial |
$34.30
|
| Rate for Payer: Entrust Commercial |
$33.25
|
| Rate for Payer: First Choice Health Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$19.95
|
| Rate for Payer: HealthUtah PPO |
$35.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$33.95
|
| Rate for Payer: Multiplan Medicare/VA |
$18.95
|
| Rate for Payer: One Health Plan of WY PPO |
$34.30
|
| Rate for Payer: PacificSource Commercial |
$31.50
|
| Rate for Payer: PHCS PPO |
$34.30
|
| Rate for Payer: Three Rivers PPO |
$26.25
|
| Rate for Payer: TriWest Veterans Administration |
$19.95
|
| Rate for Payer: United Healthcare Commercial |
$33.42
|
| Rate for Payer: United Healthcare Medicare |
$19.95
|
| Rate for Payer: WINHealth Partners Commercial |
$34.30
|
| Rate for Payer: Wise Provider Network Commercial |
$33.25
|
|
|
AIRFIT N20 MASK MEDIUM
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
6750063
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.28 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$34.30
|
| Rate for Payer: Aetna of WY Medicare |
$22.40
|
| Rate for Payer: Altius Commercial |
$33.60
|
| Rate for Payer: Beech Street Commercial |
$34.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.95
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$33.95
|
| Rate for Payer: Cigna of WY Commercial |
$34.30
|
| Rate for Payer: Entrust Commercial |
$33.25
|
| Rate for Payer: First Choice Health Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$21.35
|
| Rate for Payer: HealthUtah PPO |
$35.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$33.95
|
| Rate for Payer: Multiplan Medicare/VA |
$20.28
|
| Rate for Payer: One Health Plan of WY PPO |
$34.30
|
| Rate for Payer: PacificSource Commercial |
$31.50
|
| Rate for Payer: PHCS PPO |
$34.30
|
| Rate for Payer: Three Rivers PPO |
$26.25
|
| Rate for Payer: TriWest Veterans Administration |
$21.35
|
| Rate for Payer: United Healthcare Commercial |
$33.42
|
| Rate for Payer: United Healthcare Medicare |
$21.35
|
| Rate for Payer: WINHealth Partners Commercial |
$33.25
|
| Rate for Payer: Wise Provider Network Commercial |
$33.25
|
|
|
AIRFIT N20 MASK MEDIUM
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
6750063
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.95 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$34.30
|
| Rate for Payer: Aetna of WY Medicare |
$23.10
|
| Rate for Payer: Altius Commercial |
$33.60
|
| Rate for Payer: Beech Street Commercial |
$34.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.95
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$33.95
|
| Rate for Payer: Cigna of WY Commercial |
$34.30
|
| Rate for Payer: Entrust Commercial |
$33.25
|
| Rate for Payer: First Choice Health Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$19.95
|
| Rate for Payer: HealthUtah PPO |
$35.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$33.95
|
| Rate for Payer: Multiplan Medicare/VA |
$18.95
|
| Rate for Payer: One Health Plan of WY PPO |
$34.30
|
| Rate for Payer: PacificSource Commercial |
$31.50
|
| Rate for Payer: PHCS PPO |
$34.30
|
| Rate for Payer: Three Rivers PPO |
$26.25
|
| Rate for Payer: TriWest Veterans Administration |
$19.95
|
| Rate for Payer: United Healthcare Commercial |
$33.42
|
| Rate for Payer: United Healthcare Medicare |
$19.95
|
| Rate for Payer: WINHealth Partners Commercial |
$34.30
|
| Rate for Payer: Wise Provider Network Commercial |
$33.25
|
|
|
AIRFIT N20 MASK SMALL
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
6750062
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.95 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$34.30
|
| Rate for Payer: Aetna of WY Medicare |
$23.10
|
| Rate for Payer: Altius Commercial |
$33.60
|
| Rate for Payer: Beech Street Commercial |
$34.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.95
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$33.95
|
| Rate for Payer: Cigna of WY Commercial |
$34.30
|
| Rate for Payer: Entrust Commercial |
$33.25
|
| Rate for Payer: First Choice Health Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$19.95
|
| Rate for Payer: HealthUtah PPO |
$35.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$33.95
|
| Rate for Payer: Multiplan Medicare/VA |
$18.95
|
| Rate for Payer: One Health Plan of WY PPO |
$34.30
|
| Rate for Payer: PacificSource Commercial |
$31.50
|
| Rate for Payer: PHCS PPO |
$34.30
|
| Rate for Payer: Three Rivers PPO |
$26.25
|
| Rate for Payer: TriWest Veterans Administration |
$19.95
|
| Rate for Payer: United Healthcare Commercial |
$33.42
|
| Rate for Payer: United Healthcare Medicare |
$19.95
|
| Rate for Payer: WINHealth Partners Commercial |
$34.30
|
| Rate for Payer: Wise Provider Network Commercial |
$33.25
|
|
|
AIRFIT N20 MASK SMALL
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
6750062
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.28 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$34.30
|
| Rate for Payer: Aetna of WY Medicare |
$22.40
|
| Rate for Payer: Altius Commercial |
$33.60
|
| Rate for Payer: Beech Street Commercial |
$34.30
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$33.95
|
| Rate for Payer: Cash Price |
$24.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$33.95
|
| Rate for Payer: Cigna of WY Commercial |
$34.30
|
| Rate for Payer: Entrust Commercial |
$33.25
|
| Rate for Payer: First Choice Health Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$33.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$21.35
|
| Rate for Payer: HealthUtah PPO |
$35.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$33.95
|
| Rate for Payer: Multiplan Medicare/VA |
$20.28
|
| Rate for Payer: One Health Plan of WY PPO |
$34.30
|
| Rate for Payer: PacificSource Commercial |
$31.50
|
| Rate for Payer: PHCS PPO |
$34.30
|
| Rate for Payer: Three Rivers PPO |
$26.25
|
| Rate for Payer: TriWest Veterans Administration |
$21.35
|
| Rate for Payer: United Healthcare Commercial |
$33.42
|
| Rate for Payer: United Healthcare Medicare |
$21.35
|
| Rate for Payer: WINHealth Partners Commercial |
$33.25
|
| Rate for Payer: Wise Provider Network Commercial |
$33.25
|
|
|
AIRWAY 100MM BERMAN RED
|
Facility
|
OP
|
$0.65
|
|
| Hospital Charge Code |
2500064
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.35 |
| Max. Negotiated Rate |
$0.65 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.64
|
| Rate for Payer: Aetna of WY Medicare |
$0.43
|
| Rate for Payer: Altius Commercial |
$0.62
|
| Rate for Payer: Beech Street Commercial |
$0.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.63
|
| Rate for Payer: Cash Price |
$0.45
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.63
|
| Rate for Payer: Cigna of WY Commercial |
$0.64
|
| Rate for Payer: Entrust Commercial |
$0.62
|
| Rate for Payer: First Choice Health Commercial |
$0.62
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.62
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.37
|
| Rate for Payer: HealthUtah PPO |
$0.65
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.63
|
| Rate for Payer: Multiplan Medicare/VA |
$0.35
|
| Rate for Payer: One Health Plan of WY PPO |
$0.64
|
| Rate for Payer: PacificSource Commercial |
$0.59
|
| Rate for Payer: PHCS PPO |
$0.64
|
| Rate for Payer: Three Rivers PPO |
$0.49
|
| Rate for Payer: TriWest Veterans Administration |
$0.37
|
| Rate for Payer: United Healthcare Commercial |
$0.62
|
| Rate for Payer: United Healthcare Medicare |
$0.37
|
| Rate for Payer: WINHealth Partners Commercial |
$0.64
|
| Rate for Payer: Wise Provider Network Commercial |
$0.62
|
|
|
AIRWAY 100MM BERMAN RED
|
Facility
|
IP
|
$0.65
|
|
| Hospital Charge Code |
2500064
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.38 |
| Max. Negotiated Rate |
$0.65 |
| Rate for Payer: United Healthcare Commercial |
$0.62
|
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.64
|
| Rate for Payer: Aetna of WY Medicare |
$0.42
|
| Rate for Payer: Altius Commercial |
$0.62
|
| Rate for Payer: Beech Street Commercial |
$0.64
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.63
|
| Rate for Payer: Cash Price |
$0.45
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.63
|
| Rate for Payer: Cigna of WY Commercial |
$0.64
|
| Rate for Payer: Entrust Commercial |
$0.62
|
| Rate for Payer: First Choice Health Commercial |
$0.62
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.62
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.40
|
| Rate for Payer: HealthUtah PPO |
$0.65
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.63
|
| Rate for Payer: Multiplan Medicare/VA |
$0.38
|
| Rate for Payer: One Health Plan of WY PPO |
$0.64
|
| Rate for Payer: PacificSource Commercial |
$0.59
|
| Rate for Payer: PHCS PPO |
$0.64
|
| Rate for Payer: Three Rivers PPO |
$0.49
|
| Rate for Payer: TriWest Veterans Administration |
$0.40
|
| Rate for Payer: United Healthcare Medicare |
$0.40
|
| Rate for Payer: WINHealth Partners Commercial |
$0.62
|
| Rate for Payer: Wise Provider Network Commercial |
$0.62
|
|
|
AIRWAY 110MM BERMAN RED
|
Facility
|
IP
|
$3.23
|
|
| Hospital Charge Code |
2500203
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.87 |
| Max. Negotiated Rate |
$3.23 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3.17
|
| Rate for Payer: Aetna of WY Medicare |
$2.07
|
| Rate for Payer: Altius Commercial |
$3.10
|
| Rate for Payer: Beech Street Commercial |
$3.17
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.13
|
| Rate for Payer: Cash Price |
$2.26
|
| Rate for Payer: ChoiceCare Network Commercial |
$3.13
|
| Rate for Payer: Cigna of WY Commercial |
$3.17
|
| Rate for Payer: Entrust Commercial |
$3.07
|
| Rate for Payer: First Choice Health Commercial |
$3.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1.97
|
| Rate for Payer: HealthUtah PPO |
$3.23
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3.13
|
| Rate for Payer: Multiplan Medicare/VA |
$1.87
|
| Rate for Payer: One Health Plan of WY PPO |
$3.17
|
| Rate for Payer: PacificSource Commercial |
$2.91
|
| Rate for Payer: PHCS PPO |
$3.17
|
| Rate for Payer: Three Rivers PPO |
$2.42
|
| Rate for Payer: TriWest Veterans Administration |
$1.97
|
| Rate for Payer: United Healthcare Commercial |
$3.08
|
| Rate for Payer: United Healthcare Medicare |
$1.97
|
| Rate for Payer: WINHealth Partners Commercial |
$3.07
|
| Rate for Payer: Wise Provider Network Commercial |
$3.07
|
|
|
AIRWAY 110MM BERMAN RED
|
Facility
|
OP
|
$3.23
|
|
| Hospital Charge Code |
2500203
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.75 |
| Max. Negotiated Rate |
$3.23 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3.17
|
| Rate for Payer: Aetna of WY Medicare |
$2.13
|
| Rate for Payer: Altius Commercial |
$3.10
|
| Rate for Payer: Beech Street Commercial |
$3.17
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$3.13
|
| Rate for Payer: Cash Price |
$2.26
|
| Rate for Payer: ChoiceCare Network Commercial |
$3.13
|
| Rate for Payer: Cigna of WY Commercial |
$3.17
|
| Rate for Payer: Entrust Commercial |
$3.07
|
| Rate for Payer: First Choice Health Commercial |
$3.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3.07
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$1.84
|
| Rate for Payer: HealthUtah PPO |
$3.23
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3.13
|
| Rate for Payer: Multiplan Medicare/VA |
$1.75
|
| Rate for Payer: One Health Plan of WY PPO |
$3.17
|
| Rate for Payer: PacificSource Commercial |
$2.91
|
| Rate for Payer: PHCS PPO |
$3.17
|
| Rate for Payer: Three Rivers PPO |
$2.42
|
| Rate for Payer: TriWest Veterans Administration |
$1.84
|
| Rate for Payer: United Healthcare Commercial |
$3.08
|
| Rate for Payer: United Healthcare Medicare |
$1.84
|
| Rate for Payer: WINHealth Partners Commercial |
$3.17
|
| Rate for Payer: Wise Provider Network Commercial |
$3.07
|
|
|
AIRWAY 40MM BERMAN PINK
|
Facility
|
IP
|
$0.53
|
|
| Hospital Charge Code |
2500065
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$0.53 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.52
|
| Rate for Payer: Aetna of WY Medicare |
$0.34
|
| Rate for Payer: Altius Commercial |
$0.51
|
| Rate for Payer: Beech Street Commercial |
$0.52
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.51
|
| Rate for Payer: Cash Price |
$0.37
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.51
|
| Rate for Payer: Cigna of WY Commercial |
$0.52
|
| Rate for Payer: Entrust Commercial |
$0.50
|
| Rate for Payer: First Choice Health Commercial |
$0.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.32
|
| Rate for Payer: HealthUtah PPO |
$0.53
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.51
|
| Rate for Payer: Multiplan Medicare/VA |
$0.31
|
| Rate for Payer: One Health Plan of WY PPO |
$0.52
|
| Rate for Payer: PacificSource Commercial |
$0.48
|
| Rate for Payer: PHCS PPO |
$0.52
|
| Rate for Payer: Three Rivers PPO |
$0.40
|
| Rate for Payer: TriWest Veterans Administration |
$0.32
|
| Rate for Payer: United Healthcare Commercial |
$0.51
|
| Rate for Payer: United Healthcare Medicare |
$0.32
|
| Rate for Payer: WINHealth Partners Commercial |
$0.50
|
| Rate for Payer: Wise Provider Network Commercial |
$0.50
|
|
|
AIRWAY 40MM BERMAN PINK
|
Facility
|
OP
|
$0.53
|
|
| Hospital Charge Code |
2500065
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.53 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.52
|
| Rate for Payer: Aetna of WY Medicare |
$0.35
|
| Rate for Payer: Altius Commercial |
$0.51
|
| Rate for Payer: Beech Street Commercial |
$0.52
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.51
|
| Rate for Payer: Cash Price |
$0.37
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.51
|
| Rate for Payer: Cigna of WY Commercial |
$0.52
|
| Rate for Payer: Entrust Commercial |
$0.50
|
| Rate for Payer: First Choice Health Commercial |
$0.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.30
|
| Rate for Payer: HealthUtah PPO |
$0.53
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.51
|
| Rate for Payer: Multiplan Medicare/VA |
$0.29
|
| Rate for Payer: One Health Plan of WY PPO |
$0.52
|
| Rate for Payer: PacificSource Commercial |
$0.48
|
| Rate for Payer: PHCS PPO |
$0.52
|
| Rate for Payer: Three Rivers PPO |
$0.40
|
| Rate for Payer: TriWest Veterans Administration |
$0.30
|
| Rate for Payer: United Healthcare Commercial |
$0.51
|
| Rate for Payer: United Healthcare Medicare |
$0.30
|
| Rate for Payer: WINHealth Partners Commercial |
$0.52
|
| Rate for Payer: Wise Provider Network Commercial |
$0.50
|
|
|
AIRWAY 50MM BERMAN AQUA
|
Facility
|
OP
|
$0.53
|
|
| Hospital Charge Code |
2500063
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.53 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.52
|
| Rate for Payer: Aetna of WY Medicare |
$0.35
|
| Rate for Payer: Altius Commercial |
$0.51
|
| Rate for Payer: Beech Street Commercial |
$0.52
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.51
|
| Rate for Payer: Cash Price |
$0.37
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.51
|
| Rate for Payer: Cigna of WY Commercial |
$0.52
|
| Rate for Payer: Entrust Commercial |
$0.50
|
| Rate for Payer: First Choice Health Commercial |
$0.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.30
|
| Rate for Payer: HealthUtah PPO |
$0.53
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.51
|
| Rate for Payer: Multiplan Medicare/VA |
$0.29
|
| Rate for Payer: One Health Plan of WY PPO |
$0.52
|
| Rate for Payer: PacificSource Commercial |
$0.48
|
| Rate for Payer: PHCS PPO |
$0.52
|
| Rate for Payer: Three Rivers PPO |
$0.40
|
| Rate for Payer: TriWest Veterans Administration |
$0.30
|
| Rate for Payer: United Healthcare Commercial |
$0.51
|
| Rate for Payer: United Healthcare Medicare |
$0.30
|
| Rate for Payer: WINHealth Partners Commercial |
$0.52
|
| Rate for Payer: Wise Provider Network Commercial |
$0.50
|
|
|
AIRWAY 50MM BERMAN AQUA
|
Facility
|
IP
|
$0.53
|
|
| Hospital Charge Code |
2500063
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$0.53 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.52
|
| Rate for Payer: Aetna of WY Medicare |
$0.34
|
| Rate for Payer: Altius Commercial |
$0.51
|
| Rate for Payer: Beech Street Commercial |
$0.52
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.51
|
| Rate for Payer: Cash Price |
$0.37
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.51
|
| Rate for Payer: Cigna of WY Commercial |
$0.52
|
| Rate for Payer: Entrust Commercial |
$0.50
|
| Rate for Payer: First Choice Health Commercial |
$0.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.32
|
| Rate for Payer: HealthUtah PPO |
$0.53
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.51
|
| Rate for Payer: Multiplan Medicare/VA |
$0.31
|
| Rate for Payer: One Health Plan of WY PPO |
$0.52
|
| Rate for Payer: PacificSource Commercial |
$0.48
|
| Rate for Payer: PHCS PPO |
$0.52
|
| Rate for Payer: Three Rivers PPO |
$0.40
|
| Rate for Payer: TriWest Veterans Administration |
$0.32
|
| Rate for Payer: United Healthcare Commercial |
$0.51
|
| Rate for Payer: United Healthcare Medicare |
$0.32
|
| Rate for Payer: WINHealth Partners Commercial |
$0.50
|
| Rate for Payer: Wise Provider Network Commercial |
$0.50
|
|
|
AIRWAY 60MM BERMAN BLACK
|
Facility
|
OP
|
$0.54
|
|
| Hospital Charge Code |
2500066
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.54 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.53
|
| Rate for Payer: Aetna of WY Medicare |
$0.36
|
| Rate for Payer: Altius Commercial |
$0.52
|
| Rate for Payer: Beech Street Commercial |
$0.53
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.52
|
| Rate for Payer: Cash Price |
$0.38
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.52
|
| Rate for Payer: Cigna of WY Commercial |
$0.53
|
| Rate for Payer: Entrust Commercial |
$0.51
|
| Rate for Payer: First Choice Health Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.31
|
| Rate for Payer: HealthUtah PPO |
$0.54
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.52
|
| Rate for Payer: Multiplan Medicare/VA |
$0.29
|
| Rate for Payer: One Health Plan of WY PPO |
$0.53
|
| Rate for Payer: PacificSource Commercial |
$0.49
|
| Rate for Payer: PHCS PPO |
$0.53
|
| Rate for Payer: Three Rivers PPO |
$0.41
|
| Rate for Payer: TriWest Veterans Administration |
$0.31
|
| Rate for Payer: United Healthcare Commercial |
$0.52
|
| Rate for Payer: United Healthcare Medicare |
$0.31
|
| Rate for Payer: WINHealth Partners Commercial |
$0.53
|
| Rate for Payer: Wise Provider Network Commercial |
$0.51
|
|
|
AIRWAY 60MM BERMAN BLACK
|
Facility
|
IP
|
$0.54
|
|
| Hospital Charge Code |
2500066
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$0.54 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.53
|
| Rate for Payer: Aetna of WY Medicare |
$0.35
|
| Rate for Payer: Altius Commercial |
$0.52
|
| Rate for Payer: Beech Street Commercial |
$0.53
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.52
|
| Rate for Payer: Cash Price |
$0.38
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.52
|
| Rate for Payer: Cigna of WY Commercial |
$0.53
|
| Rate for Payer: Entrust Commercial |
$0.51
|
| Rate for Payer: First Choice Health Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.33
|
| Rate for Payer: HealthUtah PPO |
$0.54
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.52
|
| Rate for Payer: Multiplan Medicare/VA |
$0.31
|
| Rate for Payer: One Health Plan of WY PPO |
$0.53
|
| Rate for Payer: PacificSource Commercial |
$0.49
|
| Rate for Payer: PHCS PPO |
$0.53
|
| Rate for Payer: Three Rivers PPO |
$0.41
|
| Rate for Payer: TriWest Veterans Administration |
$0.33
|
| Rate for Payer: United Healthcare Commercial |
$0.52
|
| Rate for Payer: United Healthcare Medicare |
$0.33
|
| Rate for Payer: WINHealth Partners Commercial |
$0.51
|
| Rate for Payer: Wise Provider Network Commercial |
$0.51
|
|
|
AIRWAY 70MM BERMAN
|
Facility
|
OP
|
$0.54
|
|
| Hospital Charge Code |
2500067
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.54 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.53
|
| Rate for Payer: Aetna of WY Medicare |
$0.36
|
| Rate for Payer: Altius Commercial |
$0.52
|
| Rate for Payer: Beech Street Commercial |
$0.53
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.52
|
| Rate for Payer: Cash Price |
$0.38
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.52
|
| Rate for Payer: Cigna of WY Commercial |
$0.53
|
| Rate for Payer: Entrust Commercial |
$0.51
|
| Rate for Payer: First Choice Health Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.31
|
| Rate for Payer: HealthUtah PPO |
$0.54
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.52
|
| Rate for Payer: Multiplan Medicare/VA |
$0.29
|
| Rate for Payer: One Health Plan of WY PPO |
$0.53
|
| Rate for Payer: PacificSource Commercial |
$0.49
|
| Rate for Payer: PHCS PPO |
$0.53
|
| Rate for Payer: Three Rivers PPO |
$0.41
|
| Rate for Payer: TriWest Veterans Administration |
$0.31
|
| Rate for Payer: United Healthcare Commercial |
$0.52
|
| Rate for Payer: United Healthcare Medicare |
$0.31
|
| Rate for Payer: WINHealth Partners Commercial |
$0.53
|
| Rate for Payer: Wise Provider Network Commercial |
$0.51
|
|
|
AIRWAY 70MM BERMAN
|
Facility
|
IP
|
$0.54
|
|
| Hospital Charge Code |
2500067
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$0.54 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.53
|
| Rate for Payer: Aetna of WY Medicare |
$0.35
|
| Rate for Payer: Altius Commercial |
$0.52
|
| Rate for Payer: Beech Street Commercial |
$0.53
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.52
|
| Rate for Payer: Cash Price |
$0.38
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.52
|
| Rate for Payer: Cigna of WY Commercial |
$0.53
|
| Rate for Payer: Entrust Commercial |
$0.51
|
| Rate for Payer: First Choice Health Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.33
|
| Rate for Payer: HealthUtah PPO |
$0.54
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.52
|
| Rate for Payer: Multiplan Medicare/VA |
$0.31
|
| Rate for Payer: One Health Plan of WY PPO |
$0.53
|
| Rate for Payer: PacificSource Commercial |
$0.49
|
| Rate for Payer: PHCS PPO |
$0.53
|
| Rate for Payer: Three Rivers PPO |
$0.41
|
| Rate for Payer: TriWest Veterans Administration |
$0.33
|
| Rate for Payer: United Healthcare Commercial |
$0.52
|
| Rate for Payer: United Healthcare Medicare |
$0.33
|
| Rate for Payer: WINHealth Partners Commercial |
$0.51
|
| Rate for Payer: Wise Provider Network Commercial |
$0.51
|
|
|
AIRWAY 80MM BERMAN GREEN
|
Facility
|
OP
|
$0.54
|
|
| Hospital Charge Code |
2500068
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$0.54 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.53
|
| Rate for Payer: Aetna of WY Medicare |
$0.36
|
| Rate for Payer: Altius Commercial |
$0.52
|
| Rate for Payer: Beech Street Commercial |
$0.53
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.52
|
| Rate for Payer: Cash Price |
$0.38
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.52
|
| Rate for Payer: Cigna of WY Commercial |
$0.53
|
| Rate for Payer: Entrust Commercial |
$0.51
|
| Rate for Payer: First Choice Health Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.31
|
| Rate for Payer: HealthUtah PPO |
$0.54
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.52
|
| Rate for Payer: Multiplan Medicare/VA |
$0.29
|
| Rate for Payer: One Health Plan of WY PPO |
$0.53
|
| Rate for Payer: PacificSource Commercial |
$0.49
|
| Rate for Payer: PHCS PPO |
$0.53
|
| Rate for Payer: Three Rivers PPO |
$0.41
|
| Rate for Payer: TriWest Veterans Administration |
$0.31
|
| Rate for Payer: United Healthcare Commercial |
$0.52
|
| Rate for Payer: United Healthcare Medicare |
$0.31
|
| Rate for Payer: WINHealth Partners Commercial |
$0.53
|
| Rate for Payer: Wise Provider Network Commercial |
$0.51
|
|
|
AIRWAY 80MM BERMAN GREEN
|
Facility
|
IP
|
$0.54
|
|
| Hospital Charge Code |
2500068
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$0.54 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$0.53
|
| Rate for Payer: Aetna of WY Medicare |
$0.35
|
| Rate for Payer: Altius Commercial |
$0.52
|
| Rate for Payer: Beech Street Commercial |
$0.53
|
| Rate for Payer: Blue Cross Blue Shield of Wyoming Commercial |
$0.52
|
| Rate for Payer: Cash Price |
$0.38
|
| Rate for Payer: ChoiceCare Network Commercial |
$0.52
|
| Rate for Payer: Cigna of WY Commercial |
$0.53
|
| Rate for Payer: Entrust Commercial |
$0.51
|
| Rate for Payer: First Choice Health Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$0.51
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$0.33
|
| Rate for Payer: HealthUtah PPO |
$0.54
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$0.52
|
| Rate for Payer: Multiplan Medicare/VA |
$0.31
|
| Rate for Payer: One Health Plan of WY PPO |
$0.53
|
| Rate for Payer: PacificSource Commercial |
$0.49
|
| Rate for Payer: PHCS PPO |
$0.53
|
| Rate for Payer: Three Rivers PPO |
$0.41
|
| Rate for Payer: TriWest Veterans Administration |
$0.33
|
| Rate for Payer: United Healthcare Commercial |
$0.52
|
| Rate for Payer: United Healthcare Medicare |
$0.33
|
| Rate for Payer: WINHealth Partners Commercial |
$0.51
|
| Rate for Payer: Wise Provider Network Commercial |
$0.51
|
|
